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Philip Halstead

Debarred entity
TypePerson[sources]
NamePhilip Halstead[sources]
Birth datenot available[sources]
Nationalitynot available[sources]
CountryUnited States[sources]
DescriptionLicense No: D50803[sources]
First namePhilip[sources]
Last nameHalstead[sources]
NPI1962405704[sources]
SectorMD[sources]
Address602 South Atwood Rd, Suite 101, Belair, MD 21014[sources]
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US Maryland Sanctioned Providers1,576

Medical providers deemed ineligible to participate in Maryland's Medicaid program.

United States of America · MDH


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